panera order

Company Phone #:

Contact Name Hasran Abbas Contact #:

Company Address

Order Date: [ ] I'll pick up the order [ ] Deliver it to mePick Up Date: Delivery Date:

Pick Up Time: Delivery Time:

MENU SELECTIONSPaket Lunch I Paket Lunch II

Rp. 25.000 Rp. 25.000Ikan Bakar Ayam Goreng Kecap

Raca Mangga / dabu2 / sambal kacang Sayur Tumis

Sayur Asam Santan / daun singkong Perkedel KentangSambal Sambal Tumis

Paket Lunch III Paket Lunch IVRp. 25.000 Rp. 25.000

Udang Goreng Ikan AsinSayur Kering Sayur Asem

Perkedel Jagung Tempe GorengSambal Sambal Tumis

Paket Lunch V Paket Lunch VIRp. 25.000 Rp. 25.000

Ikan Goreng Tepung Sop Ikan / Gulai Ikan Cabe Hijau

Telur Balado Terong Balado

Sayur Cap Cay Sambal Tumis

Sambal Terasi Telur Dadar

PANERA BREAD Boxed Lunch Order Form

Delivery Address/ Instructions:

Panera Bread - Box Lunch Order DetailsCustomer Name:Order Date:

Catering Bu Has

Company Phone #:Contact Name Hasran Abbas Contact #:

Company Address

Order Date: [ ] I'll pick up the order [ ] Deliver it to mePick Up Date: Delivery Date:

Pick Up Time: Delivery Time:

MENU SELECTIONSPaket Lunch I Paket Lunch II

Rp. 25.000 Rp. 25.000Ikan Bakar Ayam Goreng Kecap

Raca Mangga / dabu2 / sambal kacang Sayur TumisSayur Asam Santan / daun singkong Perkedel Kentang

Sambal Sambal Tumis

Paket Lunch III Paket Lunch IVRp. 25.000 Rp. 25.000

Udang Goreng Ikan AsinSayur Kering Sayur Asem

Perkedel Jagung Tempe GorengSambal Sambal Tumis

Paket Lunch V Paket Lunch VIRp. 25.000 Rp. 25.000

Ikan Goreng Tepung Sop Ikan / Gulai Ikan Cabe HijauTelur Balado Terong Balado

Sayur Cap Cay Sambal TumisSambal Terasi Telur Dadar

Panera Bread - Box Lunch Order DetailsCustomer Name:Order Date:

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